Group Residences for Older Adults: Physical Features, Policies, and Social Climate

Hardcover | May 1, 1994

byRudolf H. Moos, Sonne Lemke

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This important book describes a unique new procedure for evaluating how elderly persons living in nursing homes, residential care facilities, and senior apartments are affected by their environments. By reporting results from a comprehensive appraisal of group residential settings throughoutthe United States, the authors describe ways in which settings for older adults vary in their resident and staff characteristics, physical resources, policies and services, and social climates. They also show how resources are currently allocated to older people based on their social status andfunctional abilities, how facility size and ownership affect resource availability, and how setting characteristics may impact residents' lives. The book will be of particular interest to gerontological researchers and practitioners, community psychologists, and social service professionals whowill find practical suggestions, based on empirical data, for improving existing residential settings and for planning new ones.

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This important book describes a unique new procedure for evaluating how elderly persons living in nursing homes, residential care facilities, and senior apartments are affected by their environments. By reporting results from a comprehensive appraisal of group residential settings throughoutthe United States, the authors describe ways...

Rudolf H. Moos is at Stanford University School of Medicine. Sonne Lemke is at Palo Alto Department of Veterans Affairs and Stanford University Medical Centers.

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Format:HardcoverDimensions:304 pages, 9.21 × 6.14 × 0.98 inPublished:May 1, 1994Publisher:Oxford University Press

The following ISBNs are associated with this title:

ISBN - 10:0195062574

ISBN - 13:9780195062571

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Table of Contents

PART 1: Conceptual Overview and Description of Sample1. A Conceptual Framework for Evaluation1.1. Types of Congregate Living Environments1.2. Historical Overview of Residential Programs1.3. Conceptual Perspectives1.4. The Residential Program1.5. The Book in Brief2. Characteristics of Residential Programs2.1. The Samples of Facilities2.2. The Multiphasic Environmental Assessment Procedure2.3. the Suprapersonal Environment of Residential Settings2.4. Selection and AllocationPART II: Understanding the Program Environment3. Physical and Architectural Features3.1. Assessing Physical and Architectural Features3.2. Physical Features and the Adequacy of Program Implementation3.3. Research and Policy Applications4. Policies and Services4.1. Assessing Policy and Program Resources4.2. Policies, Services, and the Adequacy of Program Implementation4.3. Research and Policy Applications5. Social Climate5.1. Assessing Social Climate5.2. Personal Factors and Environmental Perceptions5.3. Social Climate and the Adequacy of Program Implementation5.4. Research and Policy Applications6. Ownership, Size, and Facility Quality6.1. Ownership and Facility Quality6.2. Proprietary Versus Nonprofit Ownership6.3. Veterans Versus Proprietary and Nonprofit Ownership6.4. Size and Facility Quality6.5. Structural Variables and Facility QualityPART III: Applications for Program Evaluation7. Developing Harmonious, Resident-Directed, and Well-Organized Social Climates7.1. A Model of the Determinants of Social Change7.2. Determinants of Social Climate7.3. Interventions to Improve Social Climate8. Personal Control Policies, Social Climate, and Residents' Adaptation8.1. The Influence of Personal Control Policies and Social Climate8.2. Residents' Aggregate Functional Abilities as a Moderating Factor8.3. The Impact of Policies and Social Climate on Staff Performance8.4. Implications for Intervention and Evaluation9. Residents' Engagement in Activities9.1. Determinants of Activity Involvement9.2. Individual Residents' Activity Levels9.3. Determinants of Individual Residents' Activity Involvement9.4. Residents' Functional Ability as a Moderating Factor9.5. Toward a Theory of Activity Involvement9.6. Implications for Theory and Practice10. Coping with Environmental Change10.1. Assessing the Impact of Building Design10.2. A Person-Environment Congruence Model of Behavior Change10.3. Evaluating the Impact of Programmatic ChangePART IV: Applications for Program Planning and Design11. Resident Preferences and Design Guidelines11.1. Preferences for Physical Design and Policies11.2. Measuring Design and Policy Preferences11.3. Preferences for Physical Features11.4. Preferences for Policies and Services11.5. Congruence Between Actual and Preferred Facilities11.6. Implications for Assessment and Theory12. Implications for Theory and Design12.1. A Model of Resident Adaptation12.2. Implications for Program Evaluation and Design12.3. Future Directions

Editorial Reviews

"Resonating the renewed interest in the social aspects of environments, the authors provide a holistic perspective of group residential settings for the elderly . . . . Group Residences for Older Adults would be a valuable addition to any library interested in aging issues, and it would be ofparticular interest to professionals involved in evaluating, planning, programming, and designing residential environments for older adults or to academicians interested in environmental context of the elderly."--Contemporary Psychology